IT Workshop Mike Mytych
Today s Topics Telehealth CVIS Dashboards (Analytics) 1
Telehealth 2
Telehealth Telehealth is the use of electronic information and telecommunications technologies to support long-distance clinical health care, patient and professional health-related education, public health and health administration. Technologies include videoconferencing, the internet, store-andforward imaging, streaming media, and terrestrial and wireless communications. Source: DHS
Technology Components Desktop Video Application Digital Cameras Electronic Stethoscopes Home Telehealth Monitoring Devices Mobile Blood Pressure Devices Patient Exam Cameras Video Otoscopes Digital Bridge from ECG, etc. Others
Telehealth Considerations Broadband availability on both ends Speed and time to set up quite secure space Incorporating Workflows Distant site practitioner workflows EHR workflows Digital documentation Security Reimbursement Patient Acceptance / Quality perception
Cardiovascular Information Systems - CVIS 6
CVIS Defined ü Single data base & analy/cs ü Single set of registries ü Single set of workflow standards ü Single CPACS
CVIS Goals Consolidate disparate hospital systems into a single CV Data Repository Include outpatient settings where possible Initiate structured reporting for all modalities Migrate Data from current, obsolete systems where possible Improve workflow and communications Comply with Meaningful Use standards Develop key performance analytics for benchmarking
CVIS Planning Inventory of all CV service line systems Map to EHR / Analytical solutions Select systems for replacement if end of life cycle Understand and map workflows Plan for data migration off of old systems Current and long term storage plan Define detailed requirements by sub area
CVIS Example CVIS Data Management Test Environment Apollo & CardioDoc Toolkits Auto-Distribution Up to 5 modalities HealthView Web CVIS Interfaces CardioGate Interface Manager ADT/Orders/Order Filler/Results Healthcare Provider Import Interface GE MacLab / CardioLab IT Interface PedCath 7 Interface GE MUSE Interface GE CASE (Stress) Interface Charge capture (5 modalities) outbound McKesson Materials Management Interface ICD/Pacer Device Programmer Interface Philips Xcelera interface Photofile Import Echo Import Xcelera Study Complete Interface CVIS CardioDoc Structured Reporting Cath / EP / Pediatric Cath Echo / Pediatric Echo Inventory Management Cath/EP inventory capture Interface to McKesson Materials Mgt. Registries & Certifications ACC ICD / PCI / CCORP STS Adult / Congenital / Thoracic Additional Data Collection Modules Pediatric Cath ECG / Stress / Holter
Phase 1 Cath / EP / Echo Apollo Database Cath/EP/Echo Data and Reporting Modules ADT/Orders/Results/Order Filler CardioSchedule ACC Registries HealthView Web CVIS Xcelera & Device Interfaces Charge Capture & Inventory Capture Phase 2 ECG / Holter / Stress & Analytics ECG/Holter/Stress Data Modules MUSE & Case Interfaces ClinicalManager Analytics Phase 3 PV- I / PVD / Surgery PV- I & PV- D Data Modules and Reporting ICAVL Certification Upload Additional Charge Capture Interface ClinicalManager Analytics Phase 4 : CV/PV Surgery and Disease Management CV/PV Surgery Reporting Perfusion Pump Interface Heart Transplant Module STS Registries Cardiac Rehab & Anti Coag Modules 11
Analytics - Dashboards 12
Analytics Landscape Many needs: Executives need the pulse of the business Senior management need information to lead Managers need information to refine Employees need information to be effective Different types and vendors of tools: Dashboards/Scorecards Analysis and data mining Reports Challenges: Sources of data along with consistency of definition Project overruns and misses are common 14
Analytical Evolution Level Description Supporting Functions Tier 1 Production system reporting single source Tier 2 Departmental / Single service line analytics multi system Tier 3 Enterprise System EHR CDS Dashboards Business function reporting. Reports on demand. Analytics / performance metrics / dashboards Tier 4 BI Big Data - Registries Population Management Disease Management 15
Analytical Framework Data management capabilities that work with the existing data infrastructure to integrate data from virtually any source, cleanse it and prepare it for analysis. Analytics of several flavors descriptive and predictive to derive meaningful insights from both traditional, structured data and unstructured data types, such as text, voice and video. Real-time analytics that support improved decision making right at the point of patient care. 16
Analytical Framework Customer intelligence solutions that identify the most effective engagement strategies, content and channels for different patients, based on broad knowledge of their needs and preferences. Risk-based analytics to assess today s risk and model the clinical and financial effects of planned future initiatives. Workflow management tools that deliver the necessary information to the right people, teams, roles and IT systems. 17
Thanks Mike Mytych mmytych@hicllc.com 262-253-9110